1 .

2. A n u rse is caring for a client following a n amn iocen t esis at 1 8

w e e k s of gestation. W h i c h of the following findings sh ou ld

t h en u rse report t o th e provider as a pot ential comp licat ion?

• L e a k a g e o f f lu id f r o m t h e v a g i n a

•

3. A n u rse is calculating a client’s expec t ed d at e of birth usin g

Nagele’s rule. T h e client tells th e n u rse that h er last men stru a l

cycle started on November 27th

. Which of the following datesis the

client’s expec ted date of birth?

• September 3

rd

4. A nu rse is caring for a client who is at 41 w e e k s of gestation

a n d h as a positive contract ion stress test. For w hi c h of the

followin g diagnostic tests sh ou ld the n u r s e p repare the

client?

• Biophysical profile (BPP)

• T h e n u rse sh ou ld prep are th e client for a B P P t o further

assess fetal well-being. A positive contraction stress test

indicates th ere is potential ut eroplacental insufficiency.

A B P P u ses a real tim e u lt rasou nd to visualize physical

a n d physiological characteristics of the fetus a n d

ob serve forfetal biophysical resp on ses to stimuli.

5. A nu rse is teachin g a n e w p aren t ab ou t n e w b o r n safety. W h i c h

of the following instructions sh ould the n u rse include in the

t each in g?

• “You can share your room with your baby for the next few

wee k s . ”

T h e nurse sho uld r e c o m m e n d room-sharing during the firstfew weeks. This

allows the parent to be readily available to the n ew born an d learn the

newbo rn’s cues. H o we v er , the nurse should instruct the parent to avoid

placing the newb orn in their be d as it increases risk for sudde n infant de ath

s y ndrom e (SIDS).

6. A n u rse is caring for a client w h o is in labor a n d w h o s e fetus is

in t he right occiput posterior position. Th e client is dilated to 8

c m a n d reports b a ck pain. W h i c h of the following action s

sh ou ld the n u rse take?

• Ap p ly sacral counterp ressure.

The nur se should apply sacral counterpressure to assist inrelieving bac k labor

pain related to fetal posterior position.